Individual
DANIELLE DORINE GONTARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
90 E GARNER RD, BROWNSBURG, IN 46112-9359
(317) 858-7566
(317) 858-7568
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95012874
CA
363LF0000X
Family Nurse Practitioner
71012022A
IN
Other
Enumeration date
11/20/2019
Last updated
07/25/2022
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